It can be spread through contact with objects, household items and surfaces or eating food contaminated with urine, faeces, saliva or blood of infected rats.
A ga-ebutekwa ya site na nmetụta ihe ọbụla, ngwe eji ebi n'ụlọ nakwa n'elu maọbụ iri nri ọ nyụnyere mamiri, nsị, asọ mmiri maọbụ obara nke anụmanụ oke bu ya bụ oria.